Joe, Ether Sims

Joe, Ether Sims is an individual health care provider with primary practice located at W. S. S. U., A. H. Ray Student Health Center 601 Martin Luther King, Jr., Dr., Winston-Salem NC 27110-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Joe, Ether Sims can be contacted via phone (336) 750-3302.

Contact Information

Primary practice address
W. S. S. U., A. H. Ray Student Health Center 601 Martin Luther King, Jr., Dr. Winston-Salem NC 27110-0001
Fax: (336) 750-3303
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X MB200809 North Carolina

Profile Details

NPI number 1780658336
LBN Legal business name Joe, Ether Sims
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780658336 NPPES
North Carolina MEDICAID 7000169

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